Organization
N & R OF BROOKHAVEN LLC
Active
Other names
BROOKHAVEN NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK (CHIEF FINANCIAL OFFICER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
3405 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5241
(417) 874-9600
(417) 874-9601
Mailing address
3405 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5241
(417) 874-9600
(417) 874-9601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
041033
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101451110
—
MO
Enumeration date
12/01/2014
Last updated
08/26/2025
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